LBJM NUTRITION PC
Dietitian, Registered

Address: 120 E 56th St Rm 540, New York, NY 10022-3670

LBJM NUTRITION PC (NPI# 1063007607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063007607
Entity Type Organization
Organization Name LBJM NUTRITION PC
Practice Address 120 E 56th St Rm 540
New York
NY 10022-3670
Practice Telephone 9178808799
Mailing Address 1 Foster Ct
Croton On Hudson
NY 10520-3303
Mailing Telephone 2127596999
Certification Date 2021-03-05
Enumeration Date 2021-03-05
Last Update Date 2021-03-05
Authorized Official Telephone 2127596999
Authorized Official Credential MS, RDN, CDN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 193400000X SINGLE SPECIALTY GROUP Dietary & Nutritional Service Providers

Other Provider/Organization Names

Other Name Type Code
Brown & Medina Nutrition Doing Business As Name

Office Location

Street Address 120 E 56TH ST RM 540
City NEW YORK
State NY
Zip Code 10022-3670

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NPI Name Taxonomy Address Enumeration
1215537931 Gloria Helena Gomez Arenas Student in an Organized Health Care Education/Training Program 220 East 57th Street, Apt 5c, New York, NY 10022 2020-10-30
1194322909 Sara Vasiliou Social Worker 1110 2nd Avenue, Suite 304, New York, NY 10022 2020-10-05
1629697081 Mary Kathleen Mcallister Social Worker · Clinical 157 East 57th Street, Apt 7a, New York, NY 10022 2020-04-15
1245878263 Vishal Patel Optometrist Columbia University Laser Vision Center, 880 Third Avenue, New York, NY 10022 2019-12-20
1679116768 Niteegna Patel Physical Therapist 115 East 57th Sreet, Suite 520, New York, NY 10022 2019-10-22
1861035123 Kristin Brien Nurse Practitioner · Family 120 E 56th St, Suite 530, New York, NY 10022 2019-10-18
1700435567 Explore Chiropractic PC Chiropractor 445 Park Avenue, 9th Floor, New York, NY 10022 2019-09-05
1073160248 Deborah Lurie Nurse Practitioner · Family 110 East 60th Street, 5th Floor, New York, NY 10022 2019-08-22
1386298081 Daniel Tanh, LLC Community/Behavioral Health Alma, C/O Daniel Tanh, 515 Madison Avenue, 21st Floor, New York, NY 10022 2019-07-31
1124686548 Necati Enver Student in an Organized Health Care Education/Training Program 880 Third Avenue 3rd Floor, Columbia University Center for Voice and Swallowing, New York, NY 10022 2019-05-31
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194319384 Melissa Mann 275 7th Ave Fl 7, New York, NY 10001-6861 2021-02-27
1720672264 Julie Cannold Biblowit 167 E 67th St Apt 14c, New York, NY 10065-5920 2021-02-25
1760076202 Lucy Wild 18 W 21st St Fl 4, New York, NY 10010-6923 2021-02-25
1306430822 Louisa Rasmussen 290 Riverside Dr Apt 2d, New York, NY 10025-5230 2021-02-24
1366036915 Danielle Swanson 462 1st Ave, New York, NY 10016-9196 2021-02-24
1174116271 Ashley Brooke Gish 250 West St Apt 8f, New York, NY 10013-7509 2021-02-19
1366035404 Evangeleena Marino 99 Madison Ave Ste 505, New York, NY 10016-7419 2021-02-19
1811580038 Anthea Victoria Levi 99 Madison Ave Ste 505, New York, NY 10016-7419 2021-02-18
1811589872 April Celeste Panitz 37 Murray St, New York, NY 10007-2212 2021-02-10
1942892336 Meghan Donnelly 30 W 18th St Apt 5c, New York, NY 10011-4670 2021-02-07
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City NEW YORK
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.